0001209191-16-129145.txt : 20160621 0001209191-16-129145.hdr.sgml : 20160621 20160621194921 ACCESSION NUMBER: 0001209191-16-129145 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160617 FILED AS OF DATE: 20160621 DATE AS OF CHANGE: 20160621 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: REVA Medical, Inc. CENTRAL INDEX KEY: 0001496268 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 330810505 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5751 COPLEY DRIVE CITY: SAN DIEGO STATE: CA ZIP: 92111 BUSINESS PHONE: (858) 966-3000 MAIL ADDRESS: STREET 1: 5751 COPLEY DRIVE CITY: SAN DIEGO STATE: CA ZIP: 92111 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Thomas Robert Bain CENTRAL INDEX KEY: 0001404477 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-54192 FILM NUMBER: 161725430 MAIL ADDRESS: STREET 1: SUITE 4 LEVEL 46 2 PARK STREET CITY: SIDNEY STATE: C3 ZIP: 2000 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-06-17 0 0001496268 REVA Medical, Inc. RVA:AX 0001404477 Thomas Robert Bain 5751 COPLEY DRIVE SAN DIEGO CA 92111 1 0 0 0 Common Stock 2016-06-17 4 P 0 2299 7.7954 A 59799 I Rob Thomas Superannuation Fund Common Stock 2016-06-17 4 P 0 201 7.7769 A 60000 I Rob Thomas Superannuation Fund Common Stock 15000 D Represents the purchase of 22,900 of the Company's Chess Depository Interests (CDIs), trading on the Australian Securities Exchange. The purchase was executed in the form of CDIs, trading on the Australian Securities Exchange, and as such the purchase price has been converted to a USD equivalent, adjusting for the conversion ratio of 1 share of common stock per 10 CDIs, and the exchange rate on the date of the transaction. Represents the purchase of 2,010 of the Company's Chess Depository Interests (CDIs), trading on the Australian Securities Exchange. /s/ Katrina Thompson 2016-06-21